| NPI | 1669997979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE P SADLER Executive Director 573-803-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |